摘要
目的探讨分析院前急救模式对急性左心衰患者的临床疗效及安全性影响。方法选取2008年4月～2010年10月急诊救治的30例急性左心衰患者,随机分为2组,对照组15例患者未进行院前急救,入院后采用常规急救措施实施救治;观察组15例患者实施院前急救。比较两组患者的总治疗有效率、死亡率及平均急救时间。结果对照组患者总有效率73.3%,平均急救时间(33.2±5.3)min,死亡率13.3%;观察组总有效率93.3%,急救时间(18.2±4.6)min,死亡率6.7%,观察组总有效率高于对照组,平均急救时间及死亡率低于对照组,P均<0.05,差异具有统计学意义。结论对急性左心衰患者实施院前急救模式可以明显提高疗效,显著缩短急救时间并大大降低死亡率,值得广泛应用于临床。
Objective To explore and analyze the ctinical efficacy and security of hospital emergency mode using in patients with acute left ventricular failure. Methods From April 2008 to October 2010, 60 cases of acute left heart failure patients were chosen in our hospital. They were randomly divided into two groups, control group of 30 patients without a hospital first aid and after admission, routine first aid measures treatment; 30 patients of observation group with the implementation of pre-hospital emergency mode. Compare two groups of patients with treatment efficiency, mortality, and the average first-aid time. Results The total effective rate of the control group was 73.3%, the average first-aid time （33.2 ± 5.3）min, 13.3% mortality; total effective of the observation group was 93.3%, first aid time was （18.2 ±4.6）min, mortality rate is 6.7%. The total effective rate of the control group is higher than the observation group, the first aid time and the mortality rate of the control group are lower than the observation group. Conclusion The implementation of pre-hospital emergency mode can significantly improve the clinical efficacy, significantly shorten emergency time and greatly reduce the incidence of death in patients, it is worth widely used in clinical patients with acute left ventricular failure.
出处
《当代医学》
2012年第21期10-11,共2页
Contemporary Medicine
关键词
院前急救
急性左心衰
疗效
Pre-hospital care
Acute left ventricular failure
Curative effect
